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  4. Health and economic benefits of physical activity for patients with spinal cord injury

Health and economic benefits of physical activity for patients with spinal cord injury

ClinicoEconomics and Outcomes Research, 2016 · DOI: http://dx.doi.org/10.2147/CEOR.S115103 · Published: October 3, 2016

Spinal Cord InjuryHealthcareRehabilitation

Simple Explanation

Spinal cord injury (SCI) leads to physical deconditioning due to limited mobility, impacting health and increasing medical costs. Many SCI patients don't get enough physical activity to benefit their health. New technologies are needed to help SCI patients safely engage in physical activity. Starting physical activity soon after injury can lead to significant lifetime cost savings by reducing hospitalizations and reliance on care. The clinical and economic burden of SCI is substantial and likely to remain a major societal issue. Though a definite cure remains elusive, physical deterioration may be partially offset by engaging in even modest levels of physical activity on a routine basis.

Study Duration
Not specified
Participants
Approximately 558,000 cases in the US
Evidence Level
Review with meta-analysis

Key Findings

  • 1
    Approximately 65% of the spinal cord-injured population in the US engages in insufficient physical activity.
  • 2
    Patients who commence routine physical activity in the first post-injury year would realize US$290,000 to US$435,000 in lifetime cost savings.
  • 3
    Powered exoskeletons allow patients with SCI to safely ambulate in real-world settings at a physical activity intensity conducive to prolonged use and known to yield health benefits.

Research Summary

Spinal cord injury (SCI) is a traumatic event leading to physical deconditioning, secondary complications, and high health care costs. A significant portion of individuals with SCI do not engage in sufficient physical activity to derive health benefits. Routine physical activity can significantly reduce medical complications and associated costs for individuals with SCI. Technologies that improve functional mobility and encourage physical activity have the potential to substantially lower the lifetime economic burden of SCI. New assistive technologies, like powered exoskeletons, show promise in enabling safe ambulation and physical activity for individuals with SCI, potentially improving health outcomes and reducing long-term costs.

Practical Implications

Promote Early Physical Activity

Encouraging physical activity early after SCI can lead to substantial lifetime cost savings.

Develop New Technologies

Focus on developing and implementing new technologies that facilitate safe and effective physical activity for SCI patients.

Reduce Hospitalizations

Target rehabilitation protocols and technologies to reduce hospitalizations and reliance on assistive care, which represent a significant portion of SCI-related costs.

Study Limitations

  • 1
    Cost projections were based on a 'typical' spinal cord-injured patient, introducing potential variability.
  • 2
    Cost savings estimates may be impacted by factors unrelated to physical activity.
  • 3
    The analysis did not consider potential increases in longevity after SCI, increases in SCI incidence, or future increases in health care costs.

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